Parmar Malvinder S, Sturge Cecil
Medical Program, Internal Medicine, Timmins and District Hospital, Timmins, ON.
CMAJ. 2003 Sep 2;169(5):415-7.
Recurrent episodes of spontaneously resolving hyperthyroidism may be caused by release of preformed hormone from the thyroid gland after it has been damaged by inflammation (recurrent silent thyroiditis) or by exogenous administration of thyroid hormone, which might be intentional or surreptitious (thyrotoxicosis factitia). Community-wide outbreaks of "hamburger thyrotoxicosis" resulting from inadvertent consumption of beef contaminated with bovine thyroid gland have been previously reported. Here we describe a single patient who experienced recurrent episodes of this phenomenon over an 11-year period and present an approach to systematically evaluating patients with recurrent hyperthyroidism.
复发性甲状腺功能亢进自发缓解可能是由于甲状腺在受到炎症损伤（复发性无痛性甲状腺炎）后预先形成的激素释放，或外源性给予甲状腺激素所致，这可能是有意或偷偷给予的（人为甲状腺毒症）。此前曾报道过因误食受牛甲状腺污染的牛肉导致社区范围内爆发“汉堡包甲状腺毒症”。在此，我们描述了一名在11年期间经历这种现象复发的患者，并提出了一种系统评估复发性甲状腺功能亢进患者的方法。
